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妊娠期糖尿病的诊断和管理

Diagnosis and management of the gestational diabetes mellitus

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【作者】 肖玲张进安

【Author】 XIAO Ling;ZHANG Jinan;Department of Endocrinology,Jinshan Hospital affiliated to Fudan University;

【机构】 复旦大学附属金山医院内分泌科

【摘要】 妊娠期糖尿病(GDM)与多种不良妊娠结局风险增加有关。未达显性糖尿病的不同程度高血糖与妊娠结局关系尚未明确,有关GDM诊断及治疗一直存在争议。根据"高血糖与不良妊娠结局"研究结果,国际糖尿病与妊娠研究组在2010年提出了GDM诊断新标准,多国相继采纳。本文综述GDM的治疗,包括饮食控制原则、胰岛素治疗及口服药物治疗进展。

【Abstract】 Gestational diabetes mellitus(GDM) is associated with an increased risk of adverse pregnancy outcomes. The relationship between the different levels of the high blood glucose in less than overt diabetes and the pregnancy outcome has not been clear, and the diagnosis and treatment of GDM has been controversial. A new criterion for GDM diagnosis was proposed in 2010 by the International Association of Diabetes and Pregnancy Study Groups according to the study results of hyperglycemia and adverse pregnancy outcomes, which has been accepted by many countries. This article reviews the treatment of GDM, including the alimentary control principle, insulin therapy and oral medications progress.

【基金】 上海市卫计委面上项目(2012-225);金山区卫计委面上项目(SKJ-KTMS-2013-02)
  • 【文献出处】 上海医药 ,Shanghai Medical & Pharmaceutical Journal , 编辑部邮箱 ,2016年02期
  • 【分类号】R714.256
  • 【被引频次】2
  • 【下载频次】130
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